DR. ANDREW EUNKOO PARK (NPI# 1598722654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598722654 |
| Entity Type | Individual |
| Full Name | DR. ANDREW EUNKOO PARK |
| Credential | M.D. |
| Practice Address |
17051 Dallas Pkwy Suite 400 Addison TX 75001-7109 |
| Practice Telephone | 2143703006 |
| Practice Fax Number | 2148281379 |
| Mailing Telephone | 2143703535 |
| Mailing Fax Number | 2143700004 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2016-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
L6562 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 159521701 | 05 | |
| TX | RAIL ROAD MEDICARE PIN | P00714233 | 01 |
| TX | 159521702 | 05 | |
| TX | BLUE CROSS PIN | 8810M3 | 01 |
| TX | 00954841A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376167643 | Andrew J Park | Student in an Organized Health Care Education/Training Program | 26845 Barton Rd, Loma Linda, CA 92373-4309 | 2020-06-02 |
| 1043661770 | Andrew Joon Park | Physical Medicine & Rehabilitation | 12631 E 17th Ave # Msf493, Aurora, CO 80045-2527 | 2016-06-23 |
| 1093331373 | Andrew Park | Anesthesiology | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2020-06-22 |
| 1871121012 | Andrew Ji Hoon Park | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, 1 Deaconess Rd, Boston, MA 02215 | 2020-04-01 |
| 1922664135 | Andrew Park | Pharmacist | 1558 Trancas St, Napa, CA 94558-2916 | 2019-05-13 |
| 1033678305 | Andrew Park | Student in an Organized Health Care Education/Training Program | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2019-03-17 |
| 1982137519 | Andrew Chunkil Park | Psychiatry & Neurology | 101 The City Dr S, Orange, CA 92868-3201 | 2017-04-10 |
| 1730610718 | Andrew John Park | Student in an Organized Health Care Education/Training Program | 550 S Jackson St, Louisville, KY 40202-1622 | 2017-03-22 |
| 1437691870 | Andrew Park | Physical Therapist | 34617 11th Pl S Ste 201, Federal Way, WA 98003-8706 | 2016-11-16 |
| 1124489836 | Andrew Park | Marriage & Family Therapist | 1910 N Bush St, Santa Ana, CA 92706-2816 | 2016-03-09 |
| Street Address |
17051 DALLAS PKWY SUITE 400 |
| City | ADDISON |
| State | TX |
| Zip Code | 75001-7109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346774858 | Superior Anesthesia Management, LLC. | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2017-04-12 |
| 1790229581 | Gb Anesthesia Management | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-12-13 |
| 1164974424 | Cottonwood Anesthesia Management, LLC | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-11-02 |
| 1457808859 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 17051 Dallas Pkwy, Suite 440, Addison, TX 75001 | 2016-09-02 |
| 1174976377 | Highland Anesthia Management, LLC | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-07-22 |
| 1265885453 | Scarlet Anesthesia Management, LLC | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-07-22 |
| 1972951341 | Hawk Anesthesia Management, LLC | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-05-26 |
| 1073976684 | Glenwood Anesthesia Management | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-03-31 |
| 1093178816 | Somnium Dme | Durable Medical Equipment & Medical Supplies | 17051 Dallas Pkwy, Addison, TX 75001-7109 | 2016-03-30 |
| 1083071864 | Robert David Stewart | Physical Therapist | 17051 Dallas Pkwy, Suite 450, Addison, TX 75001-7109 | 2016-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143772 | Naomi Grace Moats | Speech-Language Pathologist | 5820 Addison Rd, Addison, TX 75001 | 2020-01-22 |
| 1669020467 | Us Med, LLC | Durable Medical Equipment & Medical Supplies | 15455 Dallas Parkway, Suite 600; Office #6015, Addision, TX 75001 | 2019-08-27 |
| 1316592215 | Sunny Boy Pharmacy, LLC | Pharmacy | 4388 Sunbelt Dr, Addision, TX 75001 | 2019-08-07 |
| 1538714779 | Tarpon Pllc | Physical Medicine & Rehabilitation | 17051 N. Dallas Parkway, Suite 320, Addison, TX 75001 | 2019-08-05 |
| 1235782251 | Aliah T Green | Speech-Language Pathologist | 15820 Addison Road, Addison, TX 75001 | 2019-07-18 |
| 1902376254 | Kendall Leann Chambers | Counselor | 15851 Dallas Parkway, Suite 600, Addison, TX 75001 | 2018-11-29 |
| 1053800391 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 17051 Dallas Pkwy Ste 310, Addison, TX 75001 | 2018-05-02 |
| 1528561719 | Relinda Lee Longan | Licensed Vocational Nurse | 4820 Westgrove Dr, # 903, Addison, TX 75001 | 2018-03-14 |
| 1306363338 | Margaret Weiss | Social Worker | Steven A Cohen Military Family Clinic At Metrocare, 16160 Midway Rd, Suite 218, Addison, TX 75001 | 2017-08-30 |
| 1508380759 | Dallas Sci Recovery Inc | Clinic/Center | 15046 Beltway Dr, Addison, TX 75001 | 2017-07-31 |
| Find all providers in zip 75001 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306332481 | Craig C Callewart Md Pa | Orthopaedic Surgery | 17051 Dallas Pkwy Ste 420, Addison, TX 75001-7115 | 2018-07-02 |
| 1730506072 | Chester John Donnally IIi | Orthopaedic Surgery | 17051 Dallas Pkwy Ste 400, Addison, TX 75001-7108 | 2014-03-25 |
| 1871748384 | Texas Spine Consultants, LLP | Orthopaedic Surgery | 17051 Dallas Pkwy, Suite 400, Addison, TX 75001-7101 | 2008-11-25 |
| 1770795387 | Michael Ware Hennessy | Orthopaedic Surgery | 17051 Dallas Pkwy Ste 400, Addison, TX 75001-7108 | 2007-05-04 |
| 1730146473 | Robert Gerard Viere | Orthopaedic Surgery | 17051 Dallas Pkwy Ste 400, Suite 400, Addison, TX 75001-7101 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336761584 | Jfc Medical, Pllc | Orthopaedic Surgery | 6470 Naples Dr, Irving, TX 75039-4167 | 2020-05-11 |
| 1740812221 | Granthem Pllc | Orthopaedic Surgery | 8440 Walnut Hill Ln Ste 230, Dallas, TX 75231-3816 | 2020-02-12 |
| 1184270845 | Spine Dfw Pa | Orthopaedic Surgery | 440 W Lbj Fwy Ste 465, Irving, TX 75063-3869 | 2019-08-16 |
| 1083268338 | Mp Surgical Assists LLC | Orthopaedic Surgery | 4012 Duval St Unit B, Austin, TX 78751-5110 | 2019-07-25 |
| 1215405402 | Houston Scoliosis & Spine Institute, LLC | Orthopaedic Surgery | 3534 Vista Rd Ste 2000, Pasadena, TX 77504-1728 | 2018-11-06 |
| 1013415397 | Total Joint Cin of West Texas LLC | Orthopaedic Surgery | 18911 Hardy Oak Blvd # B, San Antonio, TX 78258-4967 | 2018-01-31 |
| 1750889036 | Total Joint Cin of Austin LLC | Orthopaedic Surgery | 401 Congress Ave Ste 1540b, Austin, TX 78701-4071 | 2018-01-31 |
| 1578071452 | Spine Cin of West Texas LLC | Orthopaedic Surgery | 18911a Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1205344181 | Spine Cin of Austin LLC | Orthopaedic Surgery | 401 Congress Ave # 1540a, Austin, TX 78701-4071 | 2018-01-13 |
| 1841708724 | Spine Cin of Houston, LLC | Orthopaedic Surgery | 5420 West Loop S Ste 2300, Bellaire, TX 77401-2118 | 2018-01-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.